Provider Demographics
NPI:1306437975
Name:COUNSELING SERVICES OF CATHERINE MCKENDRICK
Entity type:Organization
Organization Name:COUNSELING SERVICES OF CATHERINE MCKENDRICK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-761-0206
Mailing Address - Street 1:1201 W PEACHTREE ST NW STE 2300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3453
Mailing Address - Country:US
Mailing Address - Phone:678-761-0206
Mailing Address - Fax:470-231-2417
Practice Address - Street 1:1201 W PEACHTREE ST NW STE 2300
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3453
Practice Address - Country:US
Practice Address - Phone:678-761-0206
Practice Address - Fax:470-231-2417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty